[Callotaxis--osteogenesis by stretching--a conservative possibility for restoring leg length after post-traumatic primary tibial shortening?].
From 1993 to the beginning of 1996 28 patients (20 male/8 female) with open fractures of the lower leg (classification of Gustilo Type II, Type III) were treated by a primary shortening with a maximum of 5.7 cm (+/- 0.6 cm) after first debridement. After this management 23 patients showed a good soft-tissue cover; 5 patients needed a supplementary musculus latissimus dorsi-transfer to cover the bone. After an average of 22 days (+/- 4.2 days) and the radiologic sign of new callus 8 patients were treated by callotaxis in the fracture gap; 20 patients underwent lengthening by callotaxis of a separate osteotomy after an average of 24 days (+/- 3.6 days). After the mean of 52 weeks (+/- 1 weeks) all patients demonstrated good healing of the fracture and osteotomy. No one showed clinical or radiological signs of osteitis.
Möllenhoff
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G
Chirurgische Universitätsklinik und Poliklinik, Berufsgenossenschaftliche Kliniken Bergmannsheil, Bochum.
Josten
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C
Muhr
G
G
D000328:Adult; D005260:Female; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019857:Osteogenesis, Distraction / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D012086:Reoperation; D013524:Surgical Flaps / Q000502:physiology; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
Kallotaxis--Osteoneogenese durch Dehnung--eine schonende Möglichkeit der Beinlängenwiederherstellung nach posttraumatischer primärer Unterschenkelverkürzung?